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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243801874
Report Date: 09/13/2022
Date Signed: 09/13/2022 10:51:51 AM

Document Has Been Signed on 09/13/2022 10:51 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:WALNUT CHILD DEVELOPMENT CENTERFACILITY NUMBER:
243801874
ADMINISTRATOR:KHOSLA, MANISHAFACILITY TYPE:
850
ADDRESS:2600 WALNUT AVENUETELEPHONE:
(209) 394-5440
CITY:LIVINGSTONSTATE: CAZIP CODE:
95334
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: 39DATE:
09/13/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Manisha Khosla - DirectorTIME COMPLETED:
11:00 AM
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On 9/13/22 Licensing Program Analyst (LPA) Joseph Pacheco arrived at the facility to conduct an unannounced Case Management inspection. LPA met with Director, Manisha Khosla, toured the facility and a census was taken. The purpose of today's inspection was regarding an unusual incident that was reported to the Fresno Childcare Regional Office on 7/28/22. On 7/26/22 Child #1 made an allegation that Staff #1 pulled their hair. LPA conducted a Case Management inspection on 8/26/22 but Staff #1 and children were unavailable to be interviewed. Staff #1 and children were interviewed during today's inspection.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted and report was reviewed with Director, Manisha Khosla.

This report shall be made available to the public upon request. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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